Pharm Exam 5

A nurse is reviewing the medical record of a client who has hypertension and a new prescription for metoprolol. Which of the following findings should the nurse investigate further?

A history of heart failure

A nurse is caring for a client who has a new prescription for alosetron to treat IBS. The nurse should instruct the client to report which of the following adverse effects of this drug?

Abdominal pain

A nurse should recognize that milrinone is contraindicated for a client who has which of the following conditions?

Acute myocardial infarction

A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give?

Allow at least two weeks for full therapeutic effect

A nurse is caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

Asthma

A nurse is planning to administer TPN with 10% dextrose to a newly admitted client. Which of the following actions should the nurse plan to take?

Change the clients tubing every 24 hours

Knowing the adverse drug reactions of cimetidine the primary care providers assistant should instruct a client to watch for and report which of the following?

Confusion

A nurse is assessing a client who was administered ondansetron IV one hour ago. Which of the following findings should the nurse recognize as an adverse effect of this drug?

Dizziness

A nurse is teaching an adults client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug?

Drowsiness

A nurse is providing teaching to a client who has a new prescription for losartan to treat hypertension. The nurse should instruct the client that which of the following could indicate an adverse reaction to the drug and needs to be reported?

Facial edema.

A client is taking losartan for hypertension. She asks you about stopping contraception and starting a family. You inform the client that losartan is unsafe to take during pregnancy due to which risk?

Fetal injury

You are caring for a client who is taking oral amiodarone to treat atrial fibrillation. Recognizing the adverse effects of amiodarone, you advise the client to watch for and report which of the following?

Fever blurred vision cough

A nurse is reviewing the serum levels of a client who is receiving TPN. The nurse should identify which of the following lab findings is an adverse effects of the TPN?

Glucose 129mg/dl

A nurse is providing teaching to a client who has hypertension and a new prescription for nifedipine. Which of the following beverages should the nurse tell the client to avoid while taking this medication?

Grapefruit juice

A nurse is caring for a client who is taking amiodarone to treat atrial fibrillation. Which of the following should the nurse instruct the client to avoid while taking this drug?

Grapefruit juice.

The nurse is planning an educational program to sildenafil to a group of older male clients. Which of the following information should the nurse include in the educational program?

Ingestion of the medication with nitrates causes hypotension

You should instruct a client using phenylepherine spray for nasal congestion to do which of the following to avoid rebound congestion?

Limit drug use to 3-5 days

A nurse is teaching a client who has a new prescription for quinidine. Which of the following statements should the nurse include?

Monitor pulse rate and report changes.

You are caring for a client who is receiving alteplase to dissolve a thrombus. Which of the following should you include in your plan of care for this client?

Monitor temperature limit venipunctures apply pressure to oozing sites assess neurologic status

A nurse is providing teaching to a client who is taking simvastatin. The nurse should instruct the client to report which of the following manifestations as an indication of a serious adverse reaction that could require discontinuing the drug therapy?

Muscle pain.

A nurse is caring for a client who has a new prescription for propranolol to treat tachydysrhythmia. The nurse should instruct the client to avoid taking which of the following types of over the counter drugs while taking propranolol?

NSAIDs

A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the following statements should the nurse include in the teaching?

Nitro dilates cardiac blood vessels to deliver more oxygen to the heart

A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug?

Palpitations

A nurse is caring for a client who is taking spirolactone to treat hypertension. The nurse should recognize that which of the following client lab values requires immediate intervention?

Potassium 5.2 mEq/L

A nurse is caring for a client who is about to begin captopril therapy. Which of the following adverse effects should the nurse instruct the client report because it can indicate a need to discontinue drug therapy?

Rash

A nurse is caring for a client who has a new prescription for verapamil. The nurse should clarify the prescription with the provider if the client has a history of which of the following conditions?

Second degree v block

A nurse is monitoring plasma drugs levels in a client who is taking theophylline. Which of the following findings should the nurse expect to see if the clients drug level indicated toxicity?

Seizures

A nurse is reviewing a new prescription with a client who has heart disease. The nurse should instruct the client that which of the following drugs is is prescribed to treat hypercholesterolemia?

Simvistatin

A nurse is caring for a client who is about to begin captopril therapy. Which of the following adverse effects should the nurse instruct the client to report because it can discontinue drug therapy?

Swelling of tongue

A female client of childbearing potential is starting therapy with misoprostol to prevent gastric ulcer. Which of the following instructions should you include when teaching this client?

Take pregnancy test prior to therapy mid cycle spotting can occur use effective contraception report excessive menstrual pain

For which of the following reasons should a client attach a spacer to a metered dose inhaler?

To increase the amount of drug delivered to the lungs.

A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make?

Use sunscreen and protective clothing to prevent sunburn

A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include?

Wait five minutes between using the drug and and another inhaled drug

A nurse is providing discharge education to the caregiver of a client who will be receiving TPN at home. Which of the following statements by the caregiver indicates understanding of the teaching?

We can administer TPN during the night.